A formula for the diagnostic assessment of thunderclap headache (TCH) should be established. The management of this type of headache is controversial. The established diagnostic assessment of TCH includes a computer tomography (CT) of the head and cerebrospinal fluid (CSF) examination to exclude a subarachnoid haemorrhage. In patients whose CT scans and CSF analyses are normal, further testing is rarely considered to be indicated by most clinicians [1]. However, others suggest that in circumstances where CT and CSF are normal, further diagnostic assessment with magnetic resonance imaging (MRI), magnetic resonance angiography (MRA) of the brain and neck, and magnetic resonance venography is necessary [2].
展开▼
